Active NPI
Susan Tracy Fryar Kelone, N.P.
- Family Nurse Practitioner
- Alexandria, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APO4542
- Practice address
- 3425 North Blvd
Alexandria, LA 71301-3676 - Phone
- (318) 442-2339
- Fax
- (318) 442-2340
- NPI assigned
- Oct 12, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APO4542 | LA | Primary |
Addresses
Primary practice location
3425 North Blvd
Alexandria, LA 71301-3676
Mailing address
248 Grays Creek Rd
Dry Prong, LA 71423-3539
Phone (318) 442-2339
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1620467 | Medicaid | LA | |
| P00203569 | Other | LA | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | SUSAN.KELONE@hca9.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050210000190 | LA | Practitioner - Nurse Practitioner | 1052362712 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CLHG-Avoyelles LLC
Practice addresses (Care Compare)
10542 Hwy 1
Moreauville, LA 71355-3051
Phone (318) 785-0102
Hospital & facility affiliations
- Bunkie Homecare
- Avoyelles Hospital
- Rapides Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.47 of 100
- Quality
- 99.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APO4542 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CLHG-Avoyelles LLC | Current | Accepting new patients | |
| CLHG-Avoyelles LLC | Current | Accepting new patients | |
| Rapides Regional Physician Group Specialty Care, LLC | Past | Accepting new patients |
Locations
4239 Highway 1192
Ste 300
Marksville, LA 71351
Phone (318) 253-0677
10542 Highway 1
Moreauville, LA 71355
Phone (318) 785-0102
Interoperability endpoints
- susan.kelone@hca9.eclinicaldirectplus.com
- susan.kelone.1@30808.direct.athenahealth.com
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Marksville, LA
- NPI 1447841945
-
- Rural Health Clinic/Center
- Hessmer, LA
- NPI 1538750039
-
- Rural Health Clinic/Center
- Marksville, LA
- NPI 1679134407
-
- Rural Health Clinic/Center
- Lecompte, LA
- NPI 1912598418
-
- Rural Health Clinic/Center
- Marksville, LA
- NPI 1962924928
-
- General Acute Care Hospital
- Marksville, LA
- NPI 1053358176
-
- Rural Health Clinic/Center
- Moreauville, LA
- NPI 1669150876
-
- Medicare Defined Swing Bed Hospital Unit
- Marksville, LA
- NPI 1861446726
-
- Family Medicine Physician
- Cottonport, LA
- NPI 1063211944
-
- Specialist
- Alexandria, LA
- NPI 1043309016
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bunkie, LA
- NPI 1306884606
-
- General Acute Care Hospital
- Alexandria, LA
- NPI 1477500015
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1497743645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 GRAYS CREEK RD",
"city": "DRY PRONG",
"state": "LA",
"postal_code": "714233539",
"telephone_number": "318-442-2339",
"fax_number": "318-442-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 NORTH BLVD",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013676",
"telephone_number": "318-442-2339",
"fax_number": "318-442-2340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELONE",
"first_name": "SUSAN",
"middle_name": "TRACY FRYAR",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-12",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "APO4542",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1620467",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00203569",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "SUSAN.KELONE@hca9.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "3425 North Blvd",
"city": "Alexandria",
"state": "LA",
"country_code": "US",
"postal_code": "713013676",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.